Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical Treatment

Trigger finger is a common disease, and operative treatments are often applied for it. Digital nerve injury is one of the complications of this surgical treatment, and paresthesia and sensory disturbance occur early after the operation. This paper presents a case of trigger finger appearing graduall...

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Main Authors: Hiroyuki Tsuchie, Tomio Nishi, Hidekazu Abe, Masaaki Takeshima, Yoichi Shimada
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/542965
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author Hiroyuki Tsuchie
Tomio Nishi
Hidekazu Abe
Masaaki Takeshima
Yoichi Shimada
author_facet Hiroyuki Tsuchie
Tomio Nishi
Hidekazu Abe
Masaaki Takeshima
Yoichi Shimada
author_sort Hiroyuki Tsuchie
collection DOAJ
description Trigger finger is a common disease, and operative treatments are often applied for it. Digital nerve injury is one of the complications of this surgical treatment, and paresthesia and sensory disturbance occur early after the operation. This paper presents a case of trigger finger appearing gradually as increasing digital nerve disorder after surgical treatment. In the second surgery, scar tissue covered the palmar MP joint where the A1 pulley had existed before, and palmar digital neurovascular tissue of the ulnar side was found on the inside of the scar. The ulnar digital nerve showed swelling like a neuroma, and bilateral digital nerves existed nearer to the center of the flexor pollicis longus tendon than normal digital nerves. Even when we operate on trigger finger by open release, we should create an appropriate surgical space for observation and be careful of digital nerve injury.
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institution Kabale University
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publishDate 2013-01-01
publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-51bfa78ab1ac46ebbb8f66bde7ddf7912025-02-03T01:20:22ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/542965542965Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical TreatmentHiroyuki Tsuchie0Tomio Nishi1Hidekazu Abe2Masaaki Takeshima3Yoichi Shimada4Ugo Municipal Hospital, 44-5 Otomichi, Nishimonai, Ugo 012-1131, JapanUgo Municipal Hospital, 44-5 Otomichi, Nishimonai, Ugo 012-1131, JapanUgo Municipal Hospital, 44-5 Otomichi, Nishimonai, Ugo 012-1131, JapanUgo Municipal Hospital, 44-5 Otomichi, Nishimonai, Ugo 012-1131, JapanDepartment of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanTrigger finger is a common disease, and operative treatments are often applied for it. Digital nerve injury is one of the complications of this surgical treatment, and paresthesia and sensory disturbance occur early after the operation. This paper presents a case of trigger finger appearing gradually as increasing digital nerve disorder after surgical treatment. In the second surgery, scar tissue covered the palmar MP joint where the A1 pulley had existed before, and palmar digital neurovascular tissue of the ulnar side was found on the inside of the scar. The ulnar digital nerve showed swelling like a neuroma, and bilateral digital nerves existed nearer to the center of the flexor pollicis longus tendon than normal digital nerves. Even when we operate on trigger finger by open release, we should create an appropriate surgical space for observation and be careful of digital nerve injury.http://dx.doi.org/10.1155/2013/542965
spellingShingle Hiroyuki Tsuchie
Tomio Nishi
Hidekazu Abe
Masaaki Takeshima
Yoichi Shimada
Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical Treatment
Case Reports in Orthopedics
title Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical Treatment
title_full Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical Treatment
title_fullStr Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical Treatment
title_full_unstemmed Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical Treatment
title_short Trigger Finger Appearing as Gradually Increasing Digital Nerve Disorder after Surgical Treatment
title_sort trigger finger appearing as gradually increasing digital nerve disorder after surgical treatment
url http://dx.doi.org/10.1155/2013/542965
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AT hidekazuabe triggerfingerappearingasgraduallyincreasingdigitalnervedisorderaftersurgicaltreatment
AT masaakitakeshima triggerfingerappearingasgraduallyincreasingdigitalnervedisorderaftersurgicaltreatment
AT yoichishimada triggerfingerappearingasgraduallyincreasingdigitalnervedisorderaftersurgicaltreatment